Tuesday, June 19, 2018

Honesty Makes a Huge Difference

Today’s “Fraud of the Day” is based on an article entitled, “Cherry Hill Doctor, Son Admit to Medicare Fraud, Authorities Say” published by Cherry Hill Patch. A father and son who are both in the medical field have admitted to their roles in a conspiracy to defraud Medicare by using unqualified people to give physical therapy to Medicare recipients.

Dying to Defraud

Dr. Nathaniel Brown, 62, of Cleveland, Mississippi, was sentenced before United States District Judge Neal B. Biggers, Jr. in Oxford, Mississippi. Dr. Brown was sentenced to serve thirty-nine (39) months in federal prison followed by three (3) years supervised release and ordered to pay $1,941,254 in restitution to the Medicare program.

What’s Behind Door #1, #2 and #3?

Myrna S. Parcon, a/k/a “Merna Parcon,” 62, of Dallas and Ransome N. Etindi, 57, of Waxahachie, Texas, were sentenced by U.S. District Judge Jane Boyle for their role in a nearly $60 million Medicare fraud scheme, announced U.S. Attorney John Parker of the Northern District of Texas.

It’s Just Not Necessary

On any given day, if you asked someone what they thought was necessary for living a satisfying life, they might answer: food, water, oxygen, sleep, health, family, friends, freedom, love, faith, a good job, or purpose in life. The former owner-operator of a Burbank,...

Terminally Fraudulent

A former doctor from Anaheim was sentenced to nine years behind bars for falsely certifying that Medicare patients were terminally ill, and thus qualified for hospice care, when the vast majority of them were not actually dying.

Sounds Like Fraud

A Garland, Texas healthcare administrator recently pleaded guilty to her role in a $5.1 million Medicare fraud conspiracy. The conspiracy stemmed from a family bent on bilking Medicare through the submission of false claims for hearing related services. According to documents filed in the case,...

Diagnostic Fraud

Diagnostic tests are necessary to determine how to correctly treat medical symptoms and conditions. A California man used his diagnostic testing clinics to carry out a scheme that bilked nearly $7 million from Medicare by ordering unnecessary tests for patients he illegally recruited. (The...

Gone, Just Like That

Today’s “Fraud of the Day” is based on a Department of Justice press release entitled, “Owner of Home Health Agency Sentenced to 75 Years in Prison for Involvement in $13 Million Medicare Fraud Conspiracy.” The owner and director of nursing of a Houston home health agency was sentenced today to 75 years in prison for her role in a $13 million Medicare fraud scheme.

Ironic

When mentally ill individuals commit a crime, it’s often difficult to decide on the appropriate punishment, whether that includes treatment in a partial hospitalization program (PHP) or incarceration. Today’s fraudster, a man who worked on behalf of hundreds of mentally ill defendants to lobby...

Old-fashioned Idea, Newfangled Fraud

Physician house calls are an old-fashioned idea, but Medicare has turned to them to help the government health care program save money in the 21st century. While a key study shows that home health care has saved 17 percent in health care spending by...

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